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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343616542
Report Date: 09/22/2022
Date Signed: 09/22/2022 12:48:27 PM

Document Has Been Signed on 09/22/2022 12:48 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:SAN JUAN PRE-SCHOOLFACILITY NUMBER:
343616542
ADMINISTRATOR:LEWIS, JENNYFACILITY TYPE:
850
ADDRESS:7413 WISCONSIN DRIVETELEPHONE:
(916) 863-0337
CITY:CITRUS HEIGHTSSTATE: CAZIP CODE:
95610
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 14DATE:
09/22/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Savannah ButlerTIME COMPLETED:
01:00 PM
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At 12:00 p.m. on Thursday, September 22nd, 2022, Licensing Program Analyst (LPA) Karyn Guerra met with Staff, Savannah Butler, for the purpose of an unannounced, POC inspection. A citation was previously issued on Thursday, September 15th, 2022, regarding ratio. During today's inspection, a census was conducted and 14 napping children were observed supervised by 1 aide. An additional qualified staff member was on site, if needed, and later returned to the classroom. The correction has been made, per POC, and the citation is cleared.

No regulatory citations were issued during todays inspection. An exit interview was conducted, and a notice of site visit was provided. Notice of site visit shall remain posted for 30 days.
SUPERVISORS NAME: Seychelle De Luca
LICENSING EVALUATOR NAME: Karyn Guerra
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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